| NPI | LastName | FirstName | MidName | Organization | Mailing Address | City | State | Zip |
| 1487731881 | BORTZ GREENLAKE RESTHAVEN, INC | 11700 E 10 MILE RD | WARREN | MI | 480893903 | |||
| 1881074961 | GREEN LAKE OPCO, LLC | 3755 CHASE AVE | SKOKIE | IL | 600764008 | |||
| 1699277434 | BARDYGA | MARY ELLEN | 6470 ALDEN DR | ORCHARD LAKE | MI | 483242006 | ||
| 1144721861 | BENEDICT | VIRGINIA | PEPITO | 39494 ROCKCREST LN | NORTHVILLE | MI | 481683960 |